Medicare For All – Saving money on our biggest bill
Right now, the United States spends nearly $12,000 per person on health care. That’s 65% more than Switzerland and 71% more than Germany. However, we spend $5,790 per person (including partial benefit enrolees) on Medicaid. Think about that for a minute.. We pay about HALF the amount for health care for our citizens who are, by and large, requiring the most health care. (Side note – Medicare is mostly age-based and for the elderly, Medicaid is run by the states and based on income more like an anti-poverty and disability program).
And what do we get for our money? The average life expectancy in the US is now 76.6 years in 2021, down from 78.8 in 2019. Think that sounds good? In Japan, it’s 85 years overall, with 88 years for women. What do you think Japan pays for healthcare. It’s $4,961. We’re paying 2.4 TIMES what Japan pays and 10% less ‘life’ for all that expense.
So how about Medicare-for-all? Think we can’t pay for it? Well we’re already PAYING more than double so we’d be SAVING money! ….and we could END the abomination that ONLY exists in THIS country known as “Medical Bankruptcy”.
As of 2019 (before some Medicare financial juggling was done), we spent $796 billion on Medicare. It’s really hard to nail down what Medicare-for-all would cost per-person. We know that covering the elderly costs ABOUT the national average ($12,000) but that’s also the demographic that needs the most services. The whole idea of insurance is to spread the risk. So maybe using Japan as an example isn’t 100% fair – after all, they have a different lifestyle and MUCH healthier food habits (which could be a topic for another post). What about the UK? The UK spends just over $4,400 per capita for their NHS and they have a life expectancy of over 81 years. Or how about Canada? At $4,402 per person and a life expectancy of 82 years, what are they doing right that we’re doing wrong? Single-payer health care.
An example? Over the past couple of years, my wife and I have needed MRIs. First we had to get them approved by the insurance company. My wife needed to go through TEN MONTHS of useless, ineffective therapy because the doctors couldn’t diagnose her problems – TWICE – that the MRIs, when finally approved found INSTANTLY. In my case, I “only” had to go through 4 months of therapy before my therapist angrily went to bat for me to get an MRI because her therapies weren’t having an effect (I had a stress fracture in my leg that an X-Ray didn’t see and my wife had ligament damage in her shoulders and ankle). Keep in mind that I have GOOD health insurance that costs $20,000/year in premiums (between ‘my’ share and my employer’s share). …and that’s before all the deductibles, co-pays and out-of-pocket exceptions.
When I saw the bill? It was over $5,500 for the MRI. Reduced in price over $1,000 for the insurance company but still left me with a $600 deductible/co-pay (remember, we waited MONTHS for this IN PAIN). However the RETAIL price for an MRI (which isn’t covered by Quebec’s health care plan but CAN be covered by an MRA) outside of Montreal is $501.29 USD. Why my insurance company doesn’t put me on a bus to Quebec and save a couple thousand dollars, I don’t know. That’s the WALK-IN price. …and they don’t hide it. Try to get that from an American clinic.
We need to examine whether or not the profit motive should be paramount in health care.
Also, keep this in mind – we pay more for the same prescription drugs compared to other countries. WAY more.. You can look at per-capita spending. You can look at drug prices themselves. Many of those drugs are manufactured here in the US and shipped overseas. Even if it’s just next door in Canada. You could look at India. You can look at Europe.
That we allow this profligate spending for the benefit of health insurance and drug company shareholders is stunning.
Medicare-for-all would save a BOATload of money. The people making billions off of other people’s misery would have to just sit on those billions. Doctors and nurses wouldn’t have to fight with every different insurance company – the savings in standardization alone (only having to have one set of records) would be immense.
Oh – and those clerks and other line workers who would be out of work at those insurance companies? They can be hired at HHS to help administrate Medicare and Medicaid with the influx of millions of new subscribers. I’m sympathetic to them. They aren’t the ones making my wife go through years of pain. They aren’t the ones screwing us over.
Every other industrialized country does this better than we do. It’s just another example of how those who sloganeer about the US being the best country in the world have their head in the sand.
Medicare-for-all. Do you think I’d trade $20,000 in premiums for a 4% income tax? The math says it’s a no-brainer. It gives workers a raise, saves employers money and covers the less-fortunate. It ought to be a law that, on your pay stub, you not only see how much YOU pay for health insurance but your employer’s part as well (typically from more than twice to four times as much as the most common splits are 80/20 or 70/30).
Medicare-for-all. Do you think we’d have more trust in doctors if we didn’t have to avoid them because of the cost? Do you think we’d be healthier if we got health care sooner rather than waiting until the pain is too much? What do you think the ramifications are if we went to medical professionals instead of Google?
Who stands to profit if we don’t? Insurance companies.
Who stands to profit (and live longer) if we do? We The People.